Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Dean Brakeall Jr., LCDCII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063922490

Mr. Michael Dean Brakeall Jr., LCDCII is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
4

Practice location Address checks out

1 Elizabeth Pl
Dayton, OH 45417-3445
Phone: (937) 813-1737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3095 Kettering Blvd, Moraine, OH 45439-1983 — (937) 293-8300

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 162011 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 150053 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.150053 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1063922490
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCII
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESMay 21, 2024
Certification dateMay 13, 2024

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